| NPI | 1487696779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WOLF Delegated Official 973-322-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 25MA06073400) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2009-02-16 |